| Entity Name: | ICONIC MEDICAL SUPPLIES AND SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Dec 2022 (2 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Sep 2023 (a year ago) |
| Document Number: | P22000090372 |
| FEI/EIN Number | 92-1570959 |
| Address: | 1860 FOREST HILL BLVD, 204, WEST PALM BEACH, FL, 33406 |
| Mail Address: | 1860 FOREST HILL BLVD, 204, WEST PALM BEACH, FL, 33406 |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912612425 | 2023-01-18 | 2024-07-03 | 1860 FOREST HILL BLVD STE 204, WEST PALM BEACH, FL, 334066086, US | 1860 FOREST HILL BLVD STE 204, WEST PALM BEACH, FL, 334066086, US | |||||||||||||
|
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| Phone | +1 561-541-8586 |
Authorized person
| Name | MS. CARRA RUSSELL |
| Role | OWNER/PRESIDENT |
| Phone | 5615418586 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RUSSELL CARRA | Agent | 1860 FOREST HILL BLVD, WEST PALM BEACH, FL, 33406 |
| Name | Role | Address |
|---|---|---|
| RUSSELL CARRA | President | 1860 FOREST HILL BLVD SUITE 204, WEST PALM BEACH, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-09-28 | RUSSELL, CARRA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| REINSTATEMENT | 2023-09-28 |
| Domestic Profit | 2022-12-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
